toria11
Guru
The patient has not had a TURP. Thanks for your help!
Preoperative diagnosis: Gross hematuria
Postoperative diagnosis: Same
Procedure performed: Cystoscopy and transurethral resection of bladder neck lesion
Indications: Patient had episode of gross hematuria and on local cysto was found to have a
bladder neck lesion was likely causing the hematuria. Presents for resection of lesion
Findings: Urethra open. Prostatic urethra with bilobar hypertrophy. Bladder neck at the 3 o'clock
to 6 o'clock area lesion was resected. Bladder had 2+ trabeculations without any stones or
tumors.
Procedure: Patient brought to the cystoscopy suite and after a proper time-out was performed
the patient was administered general anesthesia was placed in dorsal lithotomy position and
prepped and draped in usual sterile fashion. Twenty-two French scope was passed into the
bladder to confirm the lesion with findings stated above. Scope was removed. Twenty-six
French resectoscope was passed into the bladder and then using the electrocautery loop the
bladder neck lesion was then resected down to its base. Hemostasis was achieved with the
electrocautery loop. However just from the scope there were several other areas in the prostatic
urethra that started to bleed and therefore using the VaporTrode electrode hemostasis achieved
in these areas as well. After adequate hemostasis was achieved the scope was removed.
Twenty-two French 3 way Foley catheter was placed into the bladder to continuous bladder
irrigation. Efflux was clear. Patient was sent to the recovery room in stable condition.
Preoperative diagnosis: Gross hematuria
Postoperative diagnosis: Same
Procedure performed: Cystoscopy and transurethral resection of bladder neck lesion
Indications: Patient had episode of gross hematuria and on local cysto was found to have a
bladder neck lesion was likely causing the hematuria. Presents for resection of lesion
Findings: Urethra open. Prostatic urethra with bilobar hypertrophy. Bladder neck at the 3 o'clock
to 6 o'clock area lesion was resected. Bladder had 2+ trabeculations without any stones or
tumors.
Procedure: Patient brought to the cystoscopy suite and after a proper time-out was performed
the patient was administered general anesthesia was placed in dorsal lithotomy position and
prepped and draped in usual sterile fashion. Twenty-two French scope was passed into the
bladder to confirm the lesion with findings stated above. Scope was removed. Twenty-six
French resectoscope was passed into the bladder and then using the electrocautery loop the
bladder neck lesion was then resected down to its base. Hemostasis was achieved with the
electrocautery loop. However just from the scope there were several other areas in the prostatic
urethra that started to bleed and therefore using the VaporTrode electrode hemostasis achieved
in these areas as well. After adequate hemostasis was achieved the scope was removed.
Twenty-two French 3 way Foley catheter was placed into the bladder to continuous bladder
irrigation. Efflux was clear. Patient was sent to the recovery room in stable condition.